Active NPIIndividual provider

Mr. Alex M Mckennon, PA-C

Physician Assistant in Lowell, Massachusetts

NPI Number1730062779
Practice location
295 Varnum Ave, Lowell, MA 01854-2134
Fax
—
Last updated
April 13, 2026

Alex Michael Mckennon is a Physician Assistant based in Lowell, MA. Alex Michael Mckennon practices in Lowell, MA and has the professional credentials of PA-C. The NPI Number for Alex Michael Mckennon is 1730062779 and holds a License No. PA101999 (MA). The current practice location address for Alex Michael Mckennon is 295 Varnum Ave, Lowell, MA 01854-2134 and can be reached out via phone at 978-937-6439.

Provider Profile Details

NPI Number
1730062779
Provider Name
Alex Michael Mckennon
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
295 Varnum Ave, Lowell, MA 01854-2134
Phone Number
978-937-6439
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2025
Last Update Date
April 13, 2026
Certification Date
April 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
295 Varnum Ave
Lowell, MA 01854-2134
City
Lowell
Zip
01854-2134
Phone Number
978-937-6439
Lowell, MA 01854Get directions →

Provider Business Mailing Address Details

Address
290 Littleton RD Unit 3
Chelmsford, MA 01824-3429
City
Chelmsford
State
MA
Zip
01824-3429
Phone Number
978-258-4734

License Information

License Number
PA101999
License State
MA
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Alex M Mckennon, PA-C?

The NPI number of Mr. Alex M Mckennon, PA-C is 1730062779. It was assigned on July 28, 2025 and is currently active in the NPPES registry.

What is the specialty of Mr. Alex M Mckennon, PA-C?

Mr. Alex M Mckennon, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA101999.

Where does Mr. Alex M Mckennon, PA-C practice?

The practice location is 295 Varnum Ave, Lowell, MA 01854-2134. The office can be reached at 978-937-6439 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730062779 directly on the NPPES registry website.

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